The annual physical examination season is coming again, and the problems encountered in physical examination are also "coming": Is it necessary to have a physical examination once a year? What should I add to the basic set meal? What should I do if the indicator is abnormal? How to choose a medical examination institution? Here, ten clinicians give practical suggestions according to their respective fields.

Wang Yu, Director of Health Examination Center of Peking University People's Hospital:

It is necessary to have a physical examination once a year. Most medical examination packages, even if subdivided and combined according to occupation and age, are still "one thousand people" and fail to achieve personalized medical examination. Only after the doctor evaluates the personal health risks, and then sets the combination of medical examination packages, can the real individualized medical examination be realized. Under the guidance of the consultant of the health management center, the examinee can make a physical examination combination plan according to his own health risk assessment.

Deputy Director of Health Management Department of Space Center Hospital:

Physical examination can provide a lot of important information, such as understanding the functional state of the body. Once blood sugar and blood lipid rise and liver and kidney function are abnormal, we can actively find out the reasons, improve our lives and reverse the progress of the disease. For another example, we can find abnormal images of organs, such as thyroid nodules and lung nodules, and preliminarily judge whether they are benign or malignant. For suspected malignant lesions, try to diagnose and treat them as soon as possible ... We must pay attention to the annual physical examination and always pay attention to our "health clock".

Guan Rui, Deputy Director of Labor Model Health Management Center of Beijing Rehabilitation Hospital affiliated to Capital Medical University:

The disease develops dynamically, and there may be no definite abnormality in the early stage, but it will gradually change during the annual follow-up, especially in the screening of early cancer. The annual physical examination can achieve early diagnosis and early treatment, and improve the treatment effect. For example, the five-year survival rate of early detection of primary esophageal cancer is 90% to 95%, the five-year survival rate of early lung cancer and early liver cancer is 70%, and the five-year survival rate of early detection of cervical cancer can reach 90%. Early detection of sub-health status and potential diseases through physical examination and early adjustment of treatment are of great significance for improving curative effect, shortening treatment time, reducing medical expenses and improving quality of life.

Yi Deputy Chief Physician, Department of Endocrinology, Oriental Hospital, Beijing University of Chinese Medicine:

Regular physical examination is of great value and significance. On the one hand, physical examination can detect, diagnose and treat diseases at an early stage; On the other hand, physical examination can also obtain accurate information of various physical indicators of the examinee, and according to this information, daily health care, physical exercise, TCM conditioning and so on can be carried out in a targeted, scientific and reasonable way, so as to enhance human physique, improve immunity, make people less sick and not seriously ill, and improve the quality of life and health.

Xia Song, director of the physical examination department of Beijing Hospital of Integrated Traditional Chinese and Western Medicine: With the change of lifestyle, chronic diseases such as hypertension, hyperlipidemia and diabetes are showing a younger trend. The annual physical examination can give you a comprehensive understanding of your physical condition. In the physical examination, some indicators are found to be on the high side, so you can follow up regularly and intervene in time.

Xue Weicheng, chief physician, Department of Pathology, Peking University Cancer Hospital, pathologist with customized tumor standards of the National Health and Family Planning Commission:

The annual physical examination can roughly judge the degree of changes in the human body. If it is used as cancer screening, this routine physical examination project is not enough. Routine physical examination and cancer screening are two different concepts. Normal physical examination indicators do not mean that everything is normal, and abnormal cancer indicators do not require excessive panic. Because of individual differences, some normal people can temporarily or continuously have a slight increase in the so-called cancer index, which requires regular (three-month interval) and continuous monitoring. If there are no abnormalities in clinical and imaging examinations, and the cancer index drops or remains flat, there is no need to worry too much.

Wang Lan, Deputy Chief Physician, Department of Cardiology, Peking University People's Hospital:

The annual physical examination can remind people to pay attention to some basic problems, such as heart rhythm, blood routine and biochemistry. Some patients with arrhythmia are asymptomatic, and physical examination can help people solve problems in time. In addition, biochemistry can screen chronic metabolic diseases such as blood sugar and blood lipid, and the examination of liver function and renal function can help people understand their organ state. Such a physical examination can find diseases that affect people's quality of life in time, so as to treat them as soon as possible.

Yan Yan, Director of the Physical Examination Center of the Millennium Hospital affiliated to Capital Medical University:

Annual inspection is the most basic. Many tumors progress rapidly, so the frequency of annual examination is relatively low. It is pointed out in the outline of Healthy China 2030 that medical efficiency should be improved. Improving medical efficiency means treating diseases before they occur or finding and treating them early, which can not only protect people's living and working ability, but also reduce the incidence of poverty caused by illness. In other words, people's physical examination frequency can be flexibly decided according to their own economic conditions.

Zhang Da, deputy chief physician of emergency department of Beijing Chaoyang Hospital affiliated to Capital Medical University:

It is better to spend money on prevention than on treatment. We especially support the annual physical examination. Taking myocardial infarction as an example, "three highs" is the most common risk factor. Many people go to see a doctor when they feel uncomfortable, and their condition has developed to a certain extent. Blood pressure is a special basic item in physical examination. If you can control your blood pressure at ordinary times, the probability of coronary heart disease and myocardial infarction will definitely decrease. Especially at work, I see many tragedies that could have been avoided, and I often sigh "If only I had seen them earlier". The importance of prevention is obvious in the emergency department.

Jiang Hui, Deputy Chief Physician, Department of Otolaryngology, Oriental Hospital, Beijing University of Chinese Medicine:

Otolaryngology items are relatively basic in physical examination, and pharyngitis and obvious nasal polyps can be found. Even if it is relatively basic, the annual inspection is still worth doing. If there are other abnormalities, some other items can be added to the physical examination, including hearing examination and EB virus screening.